Hydrocortison Rektalschaum

About hydrocortisone rectal foam

Colitis ulcerosa (UC) is a condition where patches of inflammation develop in your large intestine. The most common symptoms when the disease flares up are diarrhoea mixed with blood, and tummy (abdominal) pain. In between these flare-ups you may have few or no symptoms. If the patches are confined to the lower parts of your bowel (the lower colon and rectum), it may be helpful during flare-ups for you to be treated with a rectal preparation. This means administering hydrocortisone into your back passage as a foam.

Hydrocortisone helps to reduce inflammation. A course of treatment will last a few weeks only - it will be stopped once your flare-up has settled.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start using hydrocortisone it is important that your doctor knows:

• If you are pregnant or breastfeeding (even though hydrocortisone could still be prescribed for you).

• If you think there may be any blockage in your bowel, or if there are any sore or bleeding areas of skin around your back passage.

• Wenn Sie irgendeine Art von Infektion haben oder jemals Tuberkulose (TB) hatten.

• Wenn Sie einen Herzinfarkt hatten oder an einer Herzerkrankung leiden.

• Wenn Sie Probleme mit der Funktion Ihrer Leber haben oder wenn Sie Probleme mit der Funktion Ihrer Nieren haben.

• Wenn Sie Diabetes (Diabetes mellitus) haben oder an einer Augenerkrankung namens Glaukom leiden. Sie sollten auch Ihrem Arzt mitteilen, wenn ein nahes Familienmitglied eine dieser Erkrankungen hat.

• If you currently have any of the following conditions: high blood pressure, 'thinning' of the bones (osteoporosis), diverticulitis, an underactive thyroid, epilepsy, cataracts, or a condition causing severe muscle weakness, called myasthenia gravis.

• Wenn Sie jemals eines der folgenden Probleme hatten: ein Blutgerinnsel in einem Blutgefäß, ein Magengeschwür oder ein psychisches Problem wie Depressionen oder Psychosen.

• Wenn Sie andere Medikamente einnehmen. Dazu gehören auch Medikamente, die ohne Rezept erhältlich sind, sowie pflanzliche und ergänzende Arzneimittel.

• Wenn Sie jemals eine allergische Reaktion auf ein Medikament hatten oder wenn Sie jemals Muskelschmerzen nach der Einnahme eines Steroidmedikaments entwickelt haben.

• Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about hydrocortisone, and will also provide you with a full list of the side-effects which you could experience from using it. It will also give you a step-by-step guide on how to use it.

• Your doctor will tell you how often to use hydrocortisone foam. It is usual to administer it once or twice a day for 2-3 weeks, and then for the dose to be reduced to once daily or on alternate days for a short while. This information will be on the label of the pack to remind you.

How to use Colifoam®

1. Shake the canister well before each use.

2. Withdraw the plunger on the applicator until it stops at the catch line.

3. Hold the applicator with the nozzle downwards, and then insert the top of the canister of foam into the nozzle.

4. Press the canister top gently so that foam fills about a quarter of the applicator. Only a short press is needed to do this. Wait a few seconds for the foam to expand and then press the canister top again. Continue to fill the applicator a little at a time until the foam reaches the 'fill' line.

5. Stand with one leg raised on a chair (or lie down on your side if you prefer) and gently insert the applicator into your back passage. Push the plunger to empty the applicator.

6. Take the applicator apart and wash it after each use.

• Try to keep your regular appointments with your doctor and clinic. This is so your doctor can check on your progress.

• Continue to use the foam for as long as your doctor has told you to. A course of treatment is likely to last a few weeks.

• If you forget a dose, don't worry, just remember to administer the next dose when it is due.

• Hydrocortisone can suppress your immune system, so it is important if you become ill that you make an appointment to see your doctor straightaway. Also, if you come into contact with anyone who has measles, shingles or chickenpox (or anyone who suspects they might have one of these viruses), you should see your doctor as soon as possible.

• Some vaccines may not be suitable for you while you are being treated with hydrocortisone. If you need any immunisations, make sure you mention that you are using a steroid medicine.

• If you are having an operation or any medical treatment, tell the person carrying out the treatment that you are using hydrocortisone.

• If you buy any medicines, check with a pharmacist that they are safe to take with your prescribed medicines.

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the ones associated with hydrocortisone when used rectally, although these are uncommon. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

For more information about the side-effects which are possible when hydrocortisone is used over a long period of time, see the separate condition leaflet called Orale Steroide.

If you experience any other symptoms which you think may be due to hydrocortisone, speak with your doctor or pharmacist for further advice.

• Bewahren Sie alle Medikamente außerhalb der Reichweite und Sicht von Kindern auf.

• An einem kühlen, trockenen Ort aufbewahren, fern von direkter Hitze und Licht.